Organization
GREAT LAKES ERIE MEDICAL IMAGING LLC
Active
Organization
GREAT LAKES ERIE MEDICAL IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH GLENN-SMITH MBA (CHIEF EXECUTIVE OFFICER)
(716) 836-4646
Entity
Organization
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3000
Mailing address
199 PARK CLUB LN STE 300, WILLIAMSVILLE, NY 14221-5269
(716) 836-4646
(716) 836-4696
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
NY
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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